Korean J Gastrointest Endosc > Volume 32(5); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(5): 357-359.
바터 팽대부 Dieulafoy 병변의 내시경 치료 1예
황기원·이재형·이주호·이상용·김태오·김광하·허정·강대환·송근암·조몽
부산대학교 의과대학 내과학교실
A Case of Endoscopic Management of Dieulafoy's Lesion in the Ampulla of Vater
Ki Won Hwang, M.D., Jae Hyung Lee, M.D., Joo Ho Lee, M.D., Sang Yong Lee, M.D., Tae Oh Kim, M.D., Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D. and Mong Cho, M.D.
Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
Abstract
Dieulafoy's lesion is an uncommon but important cause of massive upper gastrointestinal bleeding. The lesion usually occurs in the lesser curvature of the stomach within 6 cm of the gastroesophageal junction but extragastric locations of Dieulafoy's lesion are rare. In this study, diagnosis of Dieulafoy's lesion was frequently made by endoscopy instead of surgery. Hemostasis was achieved by endoscopic treatment in more than 90% of patients. We report the successful application of endoscopic hemoclipping for treatment of active bleeding from Dieulafoy's lesion in the ampulla of Vater of the duodenum. (Korean J Gastrointest Endosc 2006;32:357⁣360)
Key Words: Dieulafoy's lesion, Hemoclip, Gastrointestinal bleeding, Ampulla of Vater
주요어: Dieulafoy 병변, 지혈클립, 위장관 출혈, 바터 팽대부
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